Lessee submits applications for well drilling, treating, plugging, etc.

Leasing of Osage Reservation Lands for Oil and Gas Mining (25 CFR 226)

Documents and Forms

Document Name Document Type
Form Form 139 Lessee submits applications for well drilling, treating, plugging, etc. Form
Form 139 Application to Drill or Reenter Application_to_Drill_or_Reenter.docx www.bia.gov/policy-forms/online-forms/paperwork-reduction-act Form
Form 139 Application to Drill or Reenter Application_to_Drill_or_Reenter.docx www.bia.gov/policy-forms/online-forms/paperwork-reduction-act Form

Information Collection (IC) Details

IC Title:	Lessee submits applications for well drilling, treating, plugging, etc.	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 226.16(b) 25 CFR 226.29(c)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form 139	Application to Drill or Reenter	Application_to_Drill_or_Reenter.docx	https://www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 58	Number of Respondents for Small Entity: 30

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 5 %

	Approved	Previously Approved
Annual Number of Responses for this IC	253	253
Annual IC Time Burden (Hours)	2,277	2,277
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.